Provider Demographics
NPI:1225728389
Name:GOGINENI, ANKITA (MD)
Entity Type:Individual
Prefix:MRS
First Name:ANKITA
Middle Name:
Last Name:GOGINENI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23A6-46/1, SAI CHILDREN'S HOSPITAL, SANKARMATHAM
Mailing Address - Street 2:STREET, R.R.PETA
Mailing Address - City:ELURU
Mailing Address - State:ANDHRA PRADESH
Mailing Address - Zip Code:534002
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4500 PARSONS BLVD
Practice Address - Street 2:SUITE 410
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355
Practice Address - Country:US
Practice Address - Phone:001-718-6705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program